A nurse is caring for a client who is at 11 weeks of gestation and reports frequent
vomiting. Which of the following findings should the nurse identify
... [Show More] as an
indication that the client has hyperemesis gravidarum?
Ketonuria
Bradycardia
Bradypnea
Proteinuria - Ketonuria
A nurse is collecting data from a client who is at 36 weeks gestation during a
prenatal examination. Which of the following findings should the nurse report to
the provider?
Blurred vision
Nonpitting ankle edema
10 fetal movements in 2 hr
Leg cramps - blurred vision
The nurse should report blurred vision to the provider as it is an indication that the
client might have preeclampsia.
A nurse is caring for a newborn who has a high-pitched cry and does not respond
to consoling efforts. Which of the following neonatal data collection tolls should
the nurse expect to complete?Apgar score
Newborn Hearing Screen
Critical Congenital Heart Disease screen (CCHD)
Neonatal Abstinence Scoring System - Neonatal Abstinence scoring system
This newborn is exhibiting manifestations of opioid withdrawal and should be
screened using the Neonatal Abstinence Scoring System. Some additional
manifestations of withdrawal include restlessness, tremors, increased muscle tone,
and an exaggerated Moro reflex.
A nurse is caring for a newborn who is receiving phototherapy. Which of the
following actions should the nurse take?
Reposition the newborn every 4 hr.
Feed the newborn 30 mL (1 oz) of glucose water four times per day.
Apply a thin layer of lotion to the newborn's skin.
Place an opaque mask over the newborn's eyes. - place an opaque mask over the
newborn's eyes
A nurse is collecting data from a newborn who is 8 hr old. which of the following
findings should the nurse report to the provider?
Vernix in the skin foldspositive moro reflex
apneic episode of 10 seconds
apical HR of 90/minute while crying - apical HR of 90/minute while crying
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed
her newborn. The client reports perineal pain of 6 on a scale of 1 to 10. The nurse
also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above
the umbilicus with deviation to the right. Which of the following actions in the
nurse's priority?
Administer analgesics.
Apply an ice pack to the perineum.
Assist the client with breastfeeding.
Help the client ambulate to the toilet. - Help the client ambulate to the toilet
The greatest risk for this client is postpartum hemorrhage from uterine atony.
Therefore, the priority intervention by the nurse is to assist the client to urinate and
completely empty the bladder, which will allow the uterus to contract.
A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and
has gestational diabetes mellitus. Which of the following should the nurse include
in the teaching?
Exercise before meals.
Consume at least 2,000 cal/day.
Avoid consuming an evening snack.Maintain a fasting blood glucose of 110 to 120 mg/dL. - Consume at least 2.000
cal/day
A client who has gestational diabetes should consume at least 2,000 kcal/day which
is about 35 cal/kg/day. This will ensure adequate glucose intake and prevent
hypoglycemia.
A nurse is reinforcing teaching about risk factors for respiratory distress syndrome
(RDS) in newborns with a group of clients who are pregnant. Which of the
following risk factors should the nurse include?
Cord compression
Chronic hypertension
Alcohol use during pregnancy
Prematurity - prematurity [Show Less]